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POLYXENA MEDICAL P.C.

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Company Details

Name: POLYXENA MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Nov 2007 (18 years ago)
Entity Number: 3594205
ZIP code: 10605
County: New York
Place of Formation: New York
Address: 12 MARLETTE PLACE, WHITE PLAINS, NY, United States, 10605
Principal Address: 177 EAST 87TH ST, #406, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DAVID ETKIND DOS Process Agent 12 MARLETTE PLACE, WHITE PLAINS, NY, United States, 10605

Chief Executive Officer

Name Role Address
TATIANA MAMA EVA Chief Executive Officer 177 EAST 87TH ST, #406, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1750541199

Authorized Person:

Name:
TATIANA MAMAEVA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
261421965
Plan Year:
2012
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
2009-11-18 2013-11-26 Address 177 E 87TH ST #406, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2009-11-18 2013-11-26 Address 177 E 87TH ST #406, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
131126002118 2013-11-26 BIENNIAL STATEMENT 2013-11-01
091118002756 2009-11-18 BIENNIAL STATEMENT 2009-11-01
071115000871 2007-11-15 CERTIFICATE OF INCORPORATION 2007-11-15

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State